Atypical Odontalgia (AO) is a persistent pain condition located in the teeth and jaws. It has been described as a persistent neuropathic pain that. A new patient visits a dentist with a six-month history of pain in the left mandibular posterior teeth that previous treatments by other dentists have failed to resolve. Abstract. Objective. Atypical odontalgia (AO), a subform of persistent idiopathic facial pain, is defined as a continuous toothache in which a.

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There was no allodynia, tenderness, or pain evoked by eating, talking, tooth brushing, or mouth rinsing. Postoperative Care in Aesthetic Rhinoplasty Patients.

Pre-Trigeminal Neuralgia Similar to Atypical Odontalgia: A Case Report

After the treatment, a strong pain began in her throat and spread to the face, teeth, ears and palate. He underwent microvascular decompression surgery in January Depending on the patient’s complaints, PTN may be diagnosed as atypical odontalgia.

Moreover, a similar pattern of response in the overall patients supports a direct effect of BoNTA on the sensory system and pain.

Local injected anesthetics and corticosteroids or nerve blocks have been also essayed with inconsistent results [ 11 ]. A year-old housewife who was living with her husband was referred to our clinic after complaining of a tingling sensation on her teeth when they were touched left mandibular second premolar and first molarwhich had been treated, and an uncomfortable feeling on her provisional prosthesis that made it unbearable to keep the caps on. This case suggests that patients with symptoms of atypical odontalgia should be monitored carefully over time in view of the possibility of PTN.

The clinical management of AO is often disappointing.

Clinical features of atypical odontalgia; three cases and literature reviews

The pain-free control group PF consisted of volunteers from the medical and nursing staff of the pain therapy and dentistry clinic. AO is a specific problem in the dental field, and it seems to be surprisingly complex.

In Junehe underwent extraction of the mesial root of the left mandibular first molar, again with no resolution of his pain. Twenty days later, the uncomfortable feeling had slightly improved. Design A case-control study was used to compare AO patients with control groups that presented with other forms of facial pain and with a pain-free control group PF.


She found our department on the Internet and was referred to our clinic by an otorhinolaryngologist. A year-old female with the chief complaint of severe pain 8 based on Visual Analogue Scale VAS in the site of extracted tooth 3 since 2 months ago was referred to the Department of Oral Medicine.

Evidence derived from pathophysiology and treatment. She was taking mirtazapine, alprazolam, domperidone, and rebamipide. The medication flow chart is shown in Figure 3.

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Botulinum toxin type A for the treatment of trigeminal neuralgia: The pain was of sharp quality continuing all day long and radiated to cervical muscles, forehead, and mandible of the ipsilateral side and contra lateral structures.

View at Google Scholar A. Moreover, the relationship between psychiatric history and AO is uncertain. It is one of the best odontwlgia available to assess the overall adjustment of chronic pain patients and the outcomes of treatment interventions.

The effect was usually achieved within weeks and the maximum effect was reached within weeks; the duration of the therapeutic effect was quite heterogeneous among studies, lasting months [ 19 ]. Further studies with odontaliga number of patients, particularly randomized control trials, are needed to elucidate the effect of BoNTA in AO. Five years after the first visit, we received atypiacl letter from her saying that she had had a baby, which had been her long-held wish.

Close mobile search navigation Article navigation. All volunteers had a history of surgical procedure or extraction of at least one tooth without consequential persistent pain. Psychosomatic problems in dentistry. Aripiprazole might be effective for residual uncomfortable feelings.

AO is defined as a continuous and spontaneous pain in a tooth or several teeth, or a persistent pain in the place where a tooth has been extracted, odontagia which a thorough examination reveals no odontalgiaa pathology. Report of an effective prescription. The International Classification of Headache Disorders, 3rd edition beta version.

As mentioned above, the drug response of AO varies. Is phantom tooth pain a deafferentation neuropathic syndrome?


Some patients with TN have complained of a different type of pain in the initial stages, and this pain is now recognized as PTN, which has been investigated PTN since the first report of this entity by Symonds [ 1 ]. An extension bridge treatment was recommended and a bridge was attached to her left mandibular second premolar, first molar, and second molar.

These psychological dimensions are associated with an alteration in the somatosensory perception of trigeminal stimulus found only in the group with AO and not in other subjects with other forms of facial pain such as TN, TMD, or M.

Conclusions AO shows various features and responses to drugs. May 29, ; Published date: Evoked pain was absent and there were no abnormal findings on a dental panoramic radiograph. The odintalgia of the presence aatypical resentment and depression could very well be the two independent psychological variables that predispose an individual to atypical odontalgia via an amygdala-hypothalamus-PAG-trigeminal neurophysiological dysfunction.

Published online Aug 3. There were no odontalga problems in her pulp treatment, so she was referred to the pain clinic of our hospital by the department for endodontics. We also investigated the hostility using SCLR and all profile of aggressive behavior using another appropriate questionnaire. Psychiatric diagnoses in patients with burning mouth syndrome and atypical odontalgia referred from psychiatric to dental facilities. Please review our privacy policy. All facial odontalgiz subjects were screened before to be sent to the psychophysics pain laboratory located in the Pain Therapy Unit.

The restrictive exclusion criteria and necessary presence of a unique form of facial pain resulted in a small number of selected subjects relative to the total sample. Main clinical and demographic characteristics of patients included in this series.

This is lower than all other groups except the TN group Table 5 a. In this article, we report three types of AO and discuss its heterogeneity and management.